GREGORY JOHN PENNLINE

EVERETT, MA
NPI1811269012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-02
Last Update Date2013-07-08
Business Address
Mr. GREGORY JOHN PENNLINE
173 CHELSEA ST
EVERETT, MA 02149-4632
Phone number: 781-388-6231
Mailing Address
Mr. GREGORY JOHN PENNLINE
173 CHELSEA ST
EVERETT, MA 02149-4632
Phone number: 781-388-6231
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